Trend analysis of esophageal cancer deaths in Yandu district,Yancheng city from 2011 to 2022
Objective To understand the status of esophageal cancer deaths in Yandu district,Yancheng city from 2011 to 2022,analyze the trend and characteristics of esophageal cancer deaths,and provide scientific evidence for the formulation of cancer prevention and control strategies.Methods The death-cause registration data from 2011 to 2022 in Yandu district,Yancheng city were collected;esophageal cancer mortality,age-specific mortality and standardized mortality rate,cause eliminated life expectancy(CELE)and potential gains in life expectancy(PGLEs),and life loss rate were calculated;the trend of esophageal cancer deaths with Joinpoint regression model was fitted.Results From 2011 to 2022,3 965 people died from esophageal cancer in Yandu district,Yancheng city,and the annual mortality rate was 46.30/105.The mortality rate was 57.31/105 in males,which was higher than that in females(34.34/105,P<0.05).The mortality rate increased significantly with increasing age(x2trend=9 022.08,P<0.05).The mortality rate of people ≥ 55 years old was higher than that in people 35-<55 years old(x2=9 624.22,P<0.05).In 2011,the mortality rate of esophageal cancer was 40.13/105,and the standardized mortality rate was 32.83/105.In 2022,the mortality rate of esophageal cancer was 43.26/105,and the standardized mortality rate was 19.74/105.From 2011 to 2022,the standardized mortality rate showed a downward trend(AAPC=-6.95%,P<0.05);PGLEs decreased by 0.18 years(AAPC=-1.98%,P<0.05);the life loss rate decreased by 0.25%(AAPC=-2.60%,P<0.05).Conclusions The mortality rate of esophageal cancer in Yandu district,Yancheng demonstrated a declining trend during the past 12 years,but it is still at a high level;the people 55 years old,especially men are still the focus of prevention and control;in the future,it still needs to strengthen health education,advocate residents to improve dietary structure,and continue to early diagnosis and early treatment for reducing the occurrence and death of esophageal cancer.